Claims Jobs in Appleton

Mobile Health Team Inc. a staffing agency has an opening for a permanent fulltime Manager of Claims Health Plans position. We are looking for someone with a passion for people. Location: Corvallis OR 97330 Start Date: 3/5/2024 Shift: Days Full Time Salary: $73000.00 to $110000.00 More...

Hello All Hope you are doing great Please go through the job description and let me know your interest. Role: QA Automation Engineer with Pega Testing & EDI Claims Experience Location: Remote Duration: Fulltime Job Description: Skills: EDI Claims Pega testing Collaborate with QA and More...

MANDATORY SKILLS Domain Competencies (APPS)Bus. ProcessHealthcareBus. ProcessHealthcare Experience in Claims Payer Domain using Facets Strong in SQL As the SME for Claims the resource will play a pivotal role in providing expert guidance strategic insights and technica More...

Role: Liability Senior General Assistant Location: Martinez CA Duration: 6 Months Project About the Role: A Liability Senior General Assistant is needed for a 6month project in Martinez CA. The role supports the Liability Claims department providing administrative and technical assist More...

We are hiring an Accounting Manager for one of our clients in Paramus NJ. Job Description: Medicare Part A and Part B Skilled Nursing Facility Responsible to obtain reimbursement from Medicare and private insurance companies for skilled nursing care. This involves establishing cost More...

Job Description: Workers Compensation General Assistant Location: Martinez CA Duration: 6 Months Project About the Role: We are seeking a dedicated Workers Compensation General Assistant for a 6month project in our Martinez CA location. The ideal candidate will provide comprehensive a More...

7 years of Life insurance BA experience preferred (Only Life Insurance experience will work P&C Motor General Insurance will not work) Strong life/health claims domain expertise. Experience in Medical Supplemental claims is a plus Gathering and documenting requirements in JIRA/other More...

Job Description Business Analyst ISO Compliance 10 years of Insurance experience preferably in Property & Casualty (P&C) Insurance. Insurance policy and claims system experienced. Must have an experience on US Insurance Compliance like ISO Regulatory Statutory Repo More...

We are hiring a Secretary for one of our clients in Newark NJ. Job Description: Handle incoming and outgoing phone calls and email inquiries. Tracking response time for claim inquiries assigned to the Investigation Unit. Take minutes for weekly case discussion meetings and quarterl More...

Title: Data analyst Position: ContractWork Location: Remote Description:Position background:What does this position accomplish for the business Coding and data analysis for high priority valuebased care projectsDescribe the team: There are 4 other team members consisting of anal More...

Title: Data analyst Position: ContractWork Location: Remote Description:Position background:What does this position accomplish for the business Coding and data analysis for high priority valuebased care projectsDescribe the team: There are 4 other team members consisting of analy More...

This role can sit remote from anywhere in United States! Job Summary Client is a global leader in insurance broking and risk management. In more than 130 countries our experts manage every facet of risk across industries to help clients anticipate quantify and more fully underst More...

DEPARTMENT DESCRIPTIONSamaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity Health Plans Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan More...

Epic Resolute Professional Billing have experience in both PB and PB claims Provide Epic product function design build and testing expertise and experience for assigned Epic module Required Skills : epicAdditional Skills : EHR Analyst

Role: Project Manager with Payer/ Medicaid/Medicare/ Provider/claims/Benefits Location: 100% Remote Duration: Contract Job Description: Must Haves: A minimum 5 years of experience in a Project Management role 7 for a Project Manager Senior A minimum 3 years of experience in t More...

Epic Resolute Professional Billing have experience in both PB and PB claims Provide Epic product function design build and testing expertise and experience for assigned Epic module Required Skills : epicAdditional Skills : EHR Analyst

Role: QNXT Tester Location: Remote Duration: Contract Job Description: Need Strong Tester in Healthcare experience. Must have Skills: QNXT Medicaid/Medicare Enrollment/Claims/Provider/Billing/Finance.

MustHaves Masters degree in healthcarerelated field or JD required. CPHRM is required within 6 months of hire CPPS preferred CPHQ optional. At least 5 years of direct clinical care and 5 or more years of progressive leadership in risk or quality required Requires strong organi More...

Role: Healthcare QA Location: 100% Remote Duration: Contract/C2C/W2 Job Description: Must have Skills: QNXT Medicare/Medicaid Jira Skills: Enrollment Claims Billing Service provider

Job Title: Senior Provider Technical Specialist Location: Corvallis OR 97330 Shift: Days (08:0017:00) no weekends Contract: 13 weeks Department Description Client operates a portfolio of health plan products under several different legal structures: Intercommunity Health Plans Inc. More...